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Old 11-09-2006, 04:12 PM #1
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Exclamation My VEEG Experience

Here is a link to this post and my next post which includes pictures. http://myveegexperience.blogspot.com/


Sometimes you have something set up in your mind and it differs so much from what you had expected that you are thrown back by it. This is how I look at my VEEG.

I will try to cover as much as I possibly can, but keep in mind - I didn't plan on many events to take place that would end up in my having an experience not quite as pleasant as I had expected.

I arrived at the Hospital around 8:00am, I had to pre-register the night before and then complete registration when I arrived (it's coded as a surgery-type of thing). At around 8:30am I was guided to my room and soon had my first staff guest. I am sure this varies by hospital, however, this is how mine went.

Two Nurses: One is your primary nurse who gives you pills, flushes your IV, etc. The other is an aide who will escort you to the restroom, and pretty much do anything possible to annoy you.

One Case Manager: I don't know what she does short of dropping off a business card.

Two VEEG Readers: You will constantly have two people near your room who will be viewing you via video camera (typically 2-3 camera watching you from various angles). There is also an audio box they can hear everything you can and speak to you, as well.

One on-call Epileptologist (probably your doctor or another one on staff).

Once you meet the 'staff' your electrode application begins. This takes around 30-45 minutes. They measure each location for placement, mark it with a 'china pen' (red ink) and then being placement. This hurts, this isn't like an EEG since they want them to stick. They scrub, apply paste, electrode, more paste and then tape. Once they do this, they apply gauze to your entire head, and then tape it, then they apply "Grass" (a net) atop that and cut out ear holes.

This is so uncomfortable and painful. I want to add, if you have Trigeminal Neuralgia - they do not do anything for that unless you freak out. I lasted as long as I could. They cannot pick up waves from your frontal lobe without the electrode placed in the primary trigger point for TN. I have TN and this was the worst pain I have ever felt. I'd rather be in labor.

Below is the finished product after application, this is me and my whopper.



And another shot...(my mouth was full)



Back to the story...

Your two readers and your main nurse all will have pagers, should you push your "Seizure Button" they will all come running into your room and give you a 'test'.

They will ask you your full name, where you are, etc. They will test your motor skills, vitals and say three words. Once they finish, you will be asked to recall the three words mentioned (small words or numbers).

The impression I was under, they were the ones watching but you are expected to push this button upon any suspected symptom. When you have symptoms like mine, I am fully coherent most of the time. So one 'shock' I had to push the button and go through 15 minutes of questions. It grew annoying after the 3rd push.

I'd personally like to see some changes set forth regarding this type of a thing because people get button shy. They will tell you if something did or did not show up and if nothing showed up, you feel kinda stupid for going through all of that.

Each day they do standard testing to induce seizures (similar to the EEGs). You will have the photo stimulation, hyperventilation, and then what they call a baseline. The baseline is this: They make you relax and shut your eyes and remain still/relaxed for five minutes. They will also put you on an exercise bike for 15 minutes or longer.

If all else fails, they try various methods to trigger a seizure, like having you drink alcohol, coffee, etc. May be the first hospital I was in where my doctor wanted me to get drunk ( I declined, I don't drink).

No matter your seizure type, you will be marked as a high risk for falls and will not be allowed to get up without supervision. This can be an 'issue' when you have to use the restroom. I am sure out there happens to be better nurses than mine who felt the need to open my door as soon as I flushed thus ticking me off. I ended up with 'potty stage fright' and didn't "go" until I got home.

The wires from your head (electrodes) to the stand are about the length of an IV. You have to cart this with you when you use the restroom or want to move around your room. The only downside is you cannot leave your bed without ringing for a nurse for assistance. Every movement you make has to be with a nurse present, this is so annoying I have no words to explain how awful it was.

From my understanding, the first day you stay on your normal medicine. The first night you will be sleep deprived, normally staying up until 3:00am. The second day, they decrease your meds by half and you are not sleep deprived. The third day, your meds are all taken away and you are sleep deprived again. They seem to sleep deprive you every other night. Before allowing you to leave, you have to be put back on your meds.

I am on Keppra, which is now available via IV - so I was able to get my full dosage before going home (I was actually kind of high, which was semi-fun).

The hardest part is not being able to deliver what they want which is a grand mal seizure. I have one maybe once a year, but several smaller focal seizures or complex partials every day. I felt like I failed, and my reader also had Epilepsy so she did comfort me that while I may not have a drop seizure, they are getting great information when I sleep.

When you sleep, your EEG is easier to read. Keeping in mind, while you are awake your EEG picks up everything. All movements from muscles, even eye blinking, and so on. You cannot chew gum either.

Bathing is pretty much out of the question, you have a small portion of your face you can wash and my nurse rushed me so much that sponge bathing in the restroom wasn't very fun with someone talking to me the whole time.

I am home now, and my head hurts bad. I lost a LOT of my hair from the paste and the tape. I have large knots on my head and red spots from the tape that peeled off layers of my skin on my back, chest, arms and face (from the IV site, EKG monitors and EEG tape).

I really hope this helps people out, because this is probably what they don't tell you. I'd have been better prepared had I known this. I had all of my crafts ready to keep me entertained, my computer and movies - and found myself so depressed I didn't want to do anything but cry and sleep.

Some things you can do, is ask them to face the monitor towards you. If you lay very still, you can watch your brain waves which is pretty neat. I really enjoyed it, to see spikes when I felt 'weird'. You can also see how bad it must stink for them to filter movements, you can blink or chew to see what a drastic change in spikes it causes. It's rather fascinating.

I wouldn't suggest doing this without a friend or someone who can stay with you. I am one of those spur of the moment 'potty goers' and when I have to go, then ring a nurse and wait five minutes - I get annoyed. You can have a friend with you and go then and there. As long as you have a guest.

I can only assume most Epilepsy Centers are properly staffed, this one was kind of slow - but my floor had surgery patients too and several codes going off, so the staff was always busy.

I have to wait two weeks for my results since I did not have a GM seizure and they have to read through everything. It was an experience to open my eyes and I can only applaud parents who have done this with kids and all adults who have done this, too. It was very hard to go through, but I did a lot of this alone with my guests staying a maximum of 30 minutes.

If I ever have to do it again, I won't do it alone.

I hope this helps someone, I will edit this later and add anything I had forgotten.

Last edited by Ellie; 05-31-2007 at 11:30 AM. Reason: Added link for pictures.
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Old 11-09-2006, 06:31 PM #2
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Hi Ellie,
How are you doing? All of this brings back many memories of when they did a veeg on me but instead of placing the electrodes on the top of my head they drilled 7 holes in my head 4 on the RTL and 3 on the LTL and they placed the electrodes directly on my brain. Just like you I had to drink diet soda eat potato chips, and peperoni because these were the things that triggered sz. for me.
As far as using the restroom I was lucky I was able to get out of bed because I had a 25 ft. cable hooked up to me so I could walk to the restroom and get out of bed. Take my word my head was very sore for weeks from the surgeon drilling into my head.
Here's wishing you well and May God Bless You!

Sue
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Old 11-09-2006, 07:21 PM #3
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I think the main complaint I have is if they are keeping things on people for a long duration, no matter how time consuming it is - they need to clean the areas and reapply. Many people have seen my pictures to know a general idea of before and afters. I took these pictures about 30 minutes ago once I finished my bath.

These are from the electrodes that they say 'do not touch your skin'.

This image below is from the EKG monitor, when they removed it, it ripped the skin off of my back - literally.




The next three images are from the left side of my face, one further back, one zoomed in more and one a close-up. The last picture was actually bleeding until I put ointment on it.

Image 1


Image 2


Image 3


This is from behind my ear (both sides are the same)


This is from on top of my head (I can't take pics well at this angle, hehe. It's hiding under my wet hair)



I wanted to show these because parents may take their kids to have this done, and may hear them cry and say it hurts and there may be a nurse saying "It's just not comfy" or "It probably itches". Chances are, it's hurting because the skin is being rubbed off by the electrode. Or even if one of you has this done, if you feel like it's raw - it probably is, make them take it off and put more gooey stuff on.

I have no clue what to do about my face, but I look like I have a serious skin disease now.

You all have me in the flesh, but here I am - looking funky, and reporting news. I sure love you guys and gals. The pink spots are actually red, but my flash keeps turning them pink and if I don't use a flash you can't see. Bleh.

PS: Never share these pictures!!

I have around 20 spots like this all over my head, and taking a bath wasn't as pleasant as I had hoped it was. I'm sure you have all taken a bath or shower when you had sunburn at one point in your life. That's how it felt.

Last edited by Ellie; 11-09-2006 at 07:49 PM. Reason: :o
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Old 11-09-2006, 08:17 PM #4
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wow Ellie........I can sure see why you would be unhappy about the whole experience, but especially what they did that has hurt you........

my hope is that by you being so vocal in there about it all, that they will hopefully be a bit more careful and diligent in future

sure hope too that the results they got will be beneficial in your treatment and so at least have made the ordeal worthwhile!

it must be sooooooooooooo good to be home eh!
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Old 11-09-2006, 08:24 PM #5
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awww...sweety...they look like they hurt. vit e helps and so does aloe vera. neosporine will help fight infection.

i'm so happy you are home.
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Old 11-10-2006, 08:50 AM #6
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Honey I feel for you! I know that they hurt like the dickens as I've had several. Once at Texas Children's the technician told Michael that it didn't hurt that bad and to stop acting like a baby. I stopped it right there and demanded another technician. When he had his EEG a few weeks ago, the one on the side of the face was the worst. The tech didn't see that she had put the tape in his sideburn and when she ripped it off, it took off half his sideburn. Poor thing. His skin is very sensitive and it looked just like yours, especially on his face and chest.

There just has to be a better way of doing this. The scraping and cleaning is so painful. I hate just like you said above when the techs say it's just a little uncomfy...balderdash! You and I are adults and know that it does hurt like a *****.

Biggest of gentle hugs!
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Old 11-10-2006, 11:02 AM #7
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Tip: Johnson & Johnson First Aid Cream (Wound Dressing)

I kid you not, my face looks 80% better from it. I applied it 5 times! It also helped out with a zit, too. Pick some up! It's greaseless, but still helps with the dryness. It's like a thick lotion and I've personally tested it for everyone.

5 Stars!!
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Old 11-11-2006, 03:44 PM #8
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Ellie,
Thanks for the honest view of what it is like. My Dr. has mentioned this, but said it is no big deal. This is all new to me. 47, and just started having seizures. Going to Mass General for 2nd opinion Nov. 20.

Thanks again,
Garney
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Old 11-11-2006, 05:35 PM #9
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No problem, I look at it like I'm taking one for the team! The entire experience wasn't a burden, but it's like getting a trigger point injection in your spine and they say "Just a little poke". I wish people were honest about those things, it's easier to prepare yourself. I think of parents who don't experience and have to go off of their kids words and some kids can't talk. I certainly don't want anyone to be afraid, but I don't want anyone to be misled into thinking this is a walk in the park.

I called The Epilepsy Center to tell them it would be nice for them to offer that cream I mentioned earlier and apply it after the removal of the electrodes. It really helped out tons with the pain. I'd say some areas mainly on the skin with no hair is equal to rug burn (if you have a sibling, you'll be familiar with this if yours was like mine!), the areas from the middle of my head to the front were equal to sunburn and the areas on the back of my head (they prefer you sleep flat on your back) had knots and raw spots, some were open - those hurt like blisters. Hopefully my pseudo-pain scale can help out. I bet Aloe would be good for this too (after care).

They should change the tagaderm and cloth tape every day on the IV sites, just leaving it covered so long (and they make you sweat a lot) is gross. I'll spare you the stories.

My face is looking better, kind of like I had a bad breakout - but it feels great. I apply the cream 3 times a day after I wash my face with clear soap. I bought some neutrogena fragrance free shampoo and conditioner, the stuff I had burnt my head.

Best of luck to you Garney, and keep us posted.

Thanks everyone for your support (and the night-time chats), it helps a lot!
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Old 11-17-2006, 03:01 PM #10
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Poo!

I forgot to make my follow-up appointment until today, so I have to wait until December 12th to get my results (they won't mail or give over the phone). I called and asked if I can sneak in or grab an appointment if anyone cancels so I don't have to wait so long.

It's my own fault for waiting a week to call them, I kept forgetting.
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